Archive for July, 2013

Executive Order — HIV Care Continuum Initiative | The White House

Executive Order — HIV Care Continuum Initiative | The White House.

The White House

Office of the Press Secretary

For Immediate Release
July 15, 2013

Executive Order — HIV Care Continuum Initiative

EXECUTIVE ORDER

– – – – – – –

ACCELERATING IMPROVEMENTS IN HIV PREVENTION AND CARE IN THE UNITED STATES THROUGH THE HIV CARE CONTINUUM INITIATIVE

By the authority vested in me as President by the Constitution and the laws of the United States of America, and in order to further strengthen the capacity of the Federal Government to effectively respond to the ongoing domestic HIV epidemic, it is hereby ordered as follows:

Section 1. Policy. Addressing the domestic HIV epidemic is a priority of my Administration. In 2010, the White House released the first comprehensive National HIV/AIDS Strategy (Strategy), setting quantitative goals for reducing new HIV infections, improving health outcomes for people living with HIV, and reducing HIV-related health disparities. The Strategy will continue to serve as the blueprint for our national response to the domestic epidemic. It has increased coordination, collaboration, and accountability across executive departments and agencies (agencies) with regard to addressing the epidemic. It has also focused our Nation’s collective efforts on increasing the use of evidence-based approaches to prevention and care among populations and in regions where HIV is most concentrated.

Since the release of the Strategy, additional scientific discoveries have greatly enhanced our understanding of how to prevent and treat HIV. Accordingly, further Federal action is appropriate in response to these new developments. For example, a breakthrough research trial supported by the National Institutes of Health showed that initiating HIV treatment when the immune system was relatively healthy reduced HIV transmission by 96 percent. In addition, evidence suggests that early treatment may reduce HIV-related complications. These findings highlight the importance of prompt HIV diagnosis, and because of recent advances in HIV testing technology, HIV can be detected sooner and more rapidly than ever before.

Based on these and other data, recommendations for HIV testing and treatment have changed. The U.S. Preventive Services Task Force now recommends that clinicians screen all individuals ages 15 to 65 years for HIV, and the Department of Health and Human Services Guidelines for Use of Antiretroviral Agents now recommends offering treatment to all adolescents and adults diagnosed with HIV.

Furthermore, ongoing implementation of the Affordable Care Act provides a historic opportunity for Americans to access affordable, quality health care. The Act is expanding access to recommended preventive services with no out-of-pocket costs, including HIV testing, and, beginning in 2014, insurance

companies will not be able to deny coverage based on pre-existing conditions, including HIV. Starting October 1, 2013, Americans can select the coverage that best suits them through the new Health Insurance Marketplace, and coverage will begin January 1, 2014.

Despite progress in combating HIV, important work remains. Since the publication of the Strategy, data released by the Centers for Disease Control and Prevention show that there are significant gaps along the HIV care continuum — the sequential stages of care from being diagnosed to receiving optimal treatment. Nearly one-fifth of the estimated 1.1 million people living with HIV in the United States are undiagnosed; one-third are not linked to medical care; nearly two-thirds are not engaged in ongoing care; and only one-quarter have the virus effectively controlled, which is necessary to maintain long-term health and reduce risk of transmission to others.

In light of these data, we must further clarify and focus our national efforts to prevent and treat HIV infection. It is the policy of my Administration that agencies implementing the Strategy prioritize addressing the continuum of HIV care, including by accelerating efforts to increase HIV testing, services, and treatment along the continuum. This acceleration will enable us to meet the goals of the Strategy and move closer to an AIDS-free generation.

Sec. 2. Establishment of the HIV Care Continuum Initiative. There is established the HIV Care Continuum Initiative (Initiative), to be overseen by the Director of the Office of National AIDS Policy. The Initiative will mobilize and coordinate Federal efforts in response to recent advances regarding how to prevent and treat HIV infection. The Initiative will support further integration of HIV prevention and care efforts; promote expansion of successful HIV testing and service delivery models; encourage innovative approaches to addressing barriers to accessing testing and treatment; and ensure that Federal resources are appropriately focused on implementing evidence-based interventions that improve outcomes along the HIV care continuum.

Sec. 3. Establishment of the HIV Care Continuum Working Group. There is established the HIV Care Continuum Working Group (Working Group) to support the Initiative. The Working Group shall coordinate Federal efforts to improve outcomes nationally across the HIV care continuum.

(a) Membership. The Working Group shall be co-chaired by the Director of the Office of National AIDS Policy and the Secretary of Health and Human Services or designee (Co-Chairs). In addition to the Co-Chairs, the Working Group shall consist of representatives from:

(i) the Department of Justice;

(ii) the Department of Labor;

(iii) the Department of Health and Human Services;

(iv) the Department of Housing and Urban Development;

(v) the Department of Veterans Affairs;

(vi) the Office of Management and Budget; and

(vii) other agencies and offices, as designated by the Co-Chairs.

(b) Consultation. The Working Group shall consult with the Presidential Advisory Council on HIV/AIDS, as appropriate.

(c) Functions. As part of the Initiative, the Working Group shall:

(i) request and review information from agencies describing efforts to improve testing, care, and treatment outcomes, and determine if there is appropriate emphasis on addressing the HIV care continuum in relation to other work concerning the domestic epidemic;

(ii) review research on improving outcomes along the HIV care continuum;

(iii) obtain input from Federal grantees, affected communities, and other stakeholders to inform strategies to improve outcomes along the HIV care continuum;

(iv) identify potential impediments to improving outcomes along the HIV care continuum, including for populations at greatest risk for HIV infection, based on the efforts undertaken pursuant to paragraphs (i), (ii), and (iii) of this subsection;

(v) identify opportunities to address issues identified pursuant to paragraph (iv) of this subsection, and thereby improve outcomes along the HIV care continuum;

(vi) recommend ways to integrate efforts to improve outcomes along the HIV care continuum with other evidence-based strategies to combat HIV; and

(vii) specify how to better align and coordinate Federal efforts, both within and across agencies, to improve outcomes along the HIV care continuum.

(d) Reporting.

(i) Within 180 days of the date of this order, the Working Group shall provide recommendations to the President on actions that agencies can take to improve outcomes along the HIV care continuum.

(ii) Thereafter, the Director of the Office of National AIDS Policy shall include, as part of the annual report to the President pursuant to section 1(b) of my memorandum of July 13, 2010 (Implementation of the National HIV/AIDS Strategy), a report prepared by the Working Group on

Government-wide progress in implementing this order. This report shall include a quantification of progress made in improving outcomes along the HIV care continuum.

Sec. 4. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department, agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

BARACK OBAMA

07/10/13: HIV Mental Health Task Force meeting reminder & agenda

Just a quick reminder that July HIV Mental Health Task Force meeting will be on Wednesday. July 10th from 9:30am to 11:30am at LAGLC – The Village at Ed Gould Plaza – 1125 N. McCadden Place, LA, 90038

Here is the agenda: 07-10-13 MHTF agenda

If you have anything to add to the agenda, please email Susan at sforrest@bhs-inc.org or Ingrid at imarchus@dmh.lacounty.gov. Otherwise, see you there!

HA-STTP (HIV, Substance Abuse & TraumaTraining Program): We are accepting applications for five scholars for a 2 year mentorship

click here to download the recruitment flyer:  HA-STTP Recruitment Flyer FINAL 7 8 13

wyatt

Getting to Wellness: A Roadmap for Improving the Health of Transgender Individuals in Los Angeles County

Getting to Wellness: A Roadmap for Improving the Health of Transgender Individuals in Los Angeles County

In response to HIV prevention priorities conveyed by the Los Angeles County Department of Public Health’s Division of HIV and STD Programs (DHSP), the UCLA Center for HIV Identification, Prevention and Treatment Services (CHIPTS) recently convened an independent time-limited consortium to identify best practices and potential models to address the health and wellness needs of transgender people in Los Angeles County.

Building upon foundational work previously conducted by others in the transgender and service provider communities, the CHIPTS Transgender Consortium developed a report that outlines the status of transgender health and wellness, particularly with respect to HIV disease; provides an overview of some of the services available to transgender people in Los Angeles County; and describes opportunities to both strengthen and transform Los Angeles County’s response to the health and wellness needs of transgender people.

Please download the full report: Getting to Wellness: A Roadmap for Improving the Health of Transgender Individuals in Los Angeles County

07/30/13: Improving Suicide Prevention for the Military and Their Families

Webinar: Improving Suicide Prevention for the Military

SAMHSA E-mail Updates sent this bulletin at 07/08/2013 07:10 AM EDT

United States Department of Health and Human Services, Substance Abuse and Mental Health Services Administration - A Life in the Community for Everyone: Behavioral Health is Essential to Health, Prevention Works, Treatment is Effective, People Recover
Webinar: Improving Suicide Prevention for the Military and Their FamiliesTuesday, July 30, 2013 | 2–3:30 p.m. Eastern Time

This webinar will provide an overview of the risk factors of suicide associated with service members, veterans, and their families. Resources and strategies to help those in crisis will be discussed. The webinar will also include a review of a comprehensive suicide prevention plan and offer examples of what states, communities, and organizations are doing to reduce suicide among military personnel. A question-and-answer session will follow the presentations.

Featured Presenters:

  • Julie Ebin, Ed.M., Senior Prevention Specialist, SAMHSA’s Suicide Prevention Resource Center
  • Casey Olson, Prevention, Response, and Outreach Strategic Initiatives Program Manager, National Guard Bureau
  • Luana J. Ritch, Ph.D., Nevada Policy Academy State Team Leader, Quality Assurance Specialist III, Veterans and Military Families, Nevada Mental Health Services

Register for the Webinar

If you have any questions about your registration, please contact Lisa Guerin, Administrative Assistant, at 518-439-7415, ext. 5242, or by email at lguerin@prainc.com.

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United States Department of Health and Human Services, Substance Abuse and Mental Health Services Administration Substance Abuse & Mental Health Services Administration
1 Choke Cherry Road  |  Rockville, MD 20857  |  1-877-SAMHSA-7 (1-877-726-4727)  |  http://www.samhsa.gov  |  PrivacySAMHSA is a public health agency within the U.S. Department of Health and Human Services. Its mission is to reduce the impact of substance abuse and mental illness on America’s communities.

7th Annual Summit The Total Woman: HIV and Beyond | Séptima Tratamiento de VIH Conferencia Annual Mujer Completa: Mas alla del VIH

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07/14/13: Transvisible at Outfest | Bamby Salcedo’s Story

Anyone who has ever come to our annual TranSolutions training knows Bamby Salcedo. We know her as an excellent educator in HIV, substance abuse, youth, and trans- related issues. She has been a great friend, a participant, and supporter of the HIV Drug & Alcohol Task Force for over a decade. Please show up to learn more about one of our local icons.
transvisible

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It Starts With a Nosebleed and Ends With a Dead Guy | Gawker

 

This is a lovely article that I thought people on the HIV Mental Health Task Force would really enjoy.

~ Susan

It Starts With a Nosebleed and Ends With a Dead Guy

It starts with a nosebleed and ends with a dead guy. Three dead guys, actually, and one of them is Ed Koch.

Something remarkable happened after Koch’s death: the New York Times rewrote his obituary. In the first version, nobody said what many people knew, and had long known: that Mayor Koch in his two terms in office as the highest ranking public official in the biggest city in the US and world financial center presided over a health crisis that was quickly going global and would, by the end of the 1980s, kill 50,000 Americans (as many Americans as died in the Vietnam War).

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a blog which might be of interest: The Grieving Atheist

From The Grieving Atheist Blog, a brutal, brilliant blog entry, titled “Limping Along,” about living with grief.

“One thing that I’ve needed to admit to myself is this… When someone you love dies, your life is worse. It’s not over. It’s not unsurvivable. It’s not NOT worth living. But it’s worse. It just is. I could try to convince myself otherwise, but I wouldn’t believe it in my heart. My life is just a little bit worse now. I think admitting that takes the pressure off. I don’t think that makes me pessimistic, although others may disagree. I don’t think life is bad. I’m not hopeless. I don’t think I won’t have good days. And I think it’s important to make an effort to make the rest of my life as good as possible. I’m not giving up or anything. I want to achieve more, make more friends, make existing relationships more meaningful, take setbacks in stride, bring joy to others, appreciate the small things, be kind to myself, learn, teach, savor. I want to make the most of my slightly worse life.”

http://thegrievingatheist.com/2013/06/19/limping-along/

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